Section A : Applicant’s Particulars
Please select an item in this field list.
Section B : Family Particulars
Contact Person - in case of emergency
Section C : Educational Background
Section D : Language Proficiency & IT Skills
Section E : Employment History
Section F : National Service (for Male Singaporean)
Section G : Declarations
Applicant’s Acknowledgement/Declaration
By signing this application form, I declared that I have familiarized myself with the course structure and fee payment details as stated in the Institute’s website, digital media info, brochures/flyers, electronic direct mailers (EDM) and/or course preview presentation.
By signing this application form, I declared that to the best of my knowledge and belief the information given by me to the foregoing questions and all statements made by me in this application form are correct. If there is any false declaration made in this application form, HMI Institute of Health Sciences has the absolute right to terminate me from the course without assigning any reasons.
By signing this application form, I agreed that HMI Institute of Health Sciences (“HMI Institute“) may collect, use and disclose my personal data, as provided by me in this application form, or (if applicable) obtained by HMI Institute as a result of my application/enrolment with HMI Institute, for the following purposes in accordance with the Personal Data Protection Act 2012 and HMI Institute of Health Sciences’ data protection policy (available on our website
https://hmi-ihs.com/index.php/data-protection-policy ):
• the processing of this application;
• the administration of student enrolled with HMI Institute; and
• the job matching with potential employers
Unless requested by Singapore Government agencies, written permission will be obtained from you if the data is used for purposes beyond the original intent.
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Signature of Applicant
